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1. biopsy The removal of a small piece of tissue for examination
2. bleep An electronic pager normally carried by hospital statt. This allows
anyone in the
hospital to be contacted quickly by any member of statt.
3. capacity The ability of a patient to make decisions about their healthcare. A
patient may
have the capacity to make one decision but not have the capacity to make
another. Capacity is formally assessed on admission to hospital.
4. chronic disease A disease that is not normally curable and so is instead managed over
a patient's
life. Common chronic diseases include diabetes, hypertension, and
rheumatoid arthritis.
5. chronic obstruc- A chronic progressive lung disease, almost exclusively the result of a
long-term
tive pulmonary dis- history of smoking cigarettes (with exceptions).
ease (COPD)
6. Closed questions A question asked by a doctor that normally has a very limited number
of respons-
es. An example would be 'is the pain worse on movement?'. Closed
questions are normally used when focusing on the details of a clinical
problem.
7. Comorbidities Diseases that are occurring simultaneously in a patient, that are often
chronic
but not necessarily related. Elderly patients are more likely to have multiple
comorbidities.
8. consultant A senior doctor whom has completed the training pathway for their
chosen
specialty.
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9. Do-Not-At- A legal document signed by both doctor and patient stating that in the
tempt- event of a medical emergency (namingly a cardiac arrest) no attempts
Resuscita- tion
at resuscitation are made, with the aim to prevent further suttering to the
(DNAR)
patient.
10. Electrocardiogra
A recorded pattern of the electrical activity of the heart, which can be used
m (ECG)
to identify problems with it, such as heart attacks or arrhythmias
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11. Foundation The first compulsory training pathway for all newly qualified doctors. It
Train- ing
is or- ganised over two years and comprising of three 4-month
rotations per year in ditterent specialties. An optional third foundation
year is also now available to trainees.
12. General
The UK regulatory body for doctors and publisher of guidelines
Medical
outlining recom- mended medical practice with the aim to protect
Council
(GMC) patients and optimise patient care. All doctors must have GMC
registration to lawfully practice medicine in the UK.
A community-based generalist doctor, normally the first point of call for
13. General diagno- sis and treatment of mild to moderate illness. GPs have
Practition- er historically been called 'family doctors'.
14. History (of Present- The patient's account of their presenting problem. The history is
normally the
ing Complaint) patient's own description of their problem but is guided by the clerking
doctor with a mixture of open and closed questions.
15. Holistic The concept of treating the 'whole' patient. It describes not just
managing and
treating in terms of their disease, but also the wider impact of the
disease on their physical, mental and social well-being, and recognising
the patients' own expectations and priorities for healthcare.
16. Hospice A type of tertiary care specialist facility that focuses on caring for
patients with
chronic, often terminal, conditions where the focus is on managing
symptoms rather than cure. Some patients are inpatients based on a
hospice ward, while others only visit during the day for specialist
treatments that cannot be carried out by primary care services.
17. Mammogram radiographic image of the breast
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